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ADVANCED COSMETIC & PLASTIC SURGERY
NPI 1437399250
Specialist in Fridley, MN

Active since March 06, 2009
500 OSBORNE RD NE, SUITE 130, FRIDLEY, MN 55432(763) 780-2770(763) 780-2812 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Cosmetic & Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED COSMETIC & PLASTIC SURGERY (NPI 1437399250) is a healthcare organization registered as a specialist in Fridley, Minnesota and active in the NPI registry since March 2009. The organization lists Fereydoon S Mahjouri, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1437399250
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED COSMETIC & PLASTIC SURGERY
Location Address500 OSBORNE RD NE, SUITE 130Fridley, MN 55432-2765
Mailing Address500 Osborne Rd Ne, Suite 130Fridley, MN 55432-2765 · (763) 780-2770 · Fax (763) 780-2812
Phone(763) 780-2770
Fax(763) 780-2812
Organization SubpartNo
Authorized OfficialFereydoon S MahjouriOwner/md · (763) 780-2770
Enumeration DateMarch 6, 2009
Last NPPES UpdateJuly 10, 2009
✔ NPI 1437399250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 23415
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
500 OSBORNE RD NE, Fridley, MN 55432
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Other Identifiers 1

Medicare UPINA94506MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS J DIEM D.D.S., M.D.
Specialist
500 OSBORNE RD NE, UNITY PROFESSIONAL BLDG SUITE 350
FRIDLEY, MN 55432
Anoka County (763) 780-8927
LISA R MATTSON M.D.
Obstetrics & Gynecology
500 OSBORNE RD NE, SUITE 255
FRIDLEY, MN 55432
Anoka County (763) 236-2500
JENNIFER MAE SULLIVAN WHNP
Nurse Practitioner (Women's Health)
500 OSBORNE RD NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-6011
JILL MARRONE MS, RD, LD
Dietitian, Registered
500 OSBORNE RD NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 236-2045
ANGELA BENNETT
Pediatrics
500 OSBORNE RD NE, SUITE 215
FRIDLEY, MN 55432
Anoka County (763) 236-2707
MARY ZYGMUNT DO
Obstetrics & Gynecology (Gynecology)
500 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 786-6011
HOO YIN WONG M.D.
Urology
500 OSBORNE RD NE, SUITE 120
FRIDLEY, MN 55432
Anoka County (763) 783-8582
REBECCA LYNN SCHECK RD
Dietitian, Registered
500 OSBORNE RD NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 236-2028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Cosmetic & Plastic Surgery's NPI number?

The NPI number for Advanced Cosmetic & Plastic Surgery is 1437399250. It was assigned to this organization in the NPPES registry on March 6, 2009.

Where is Advanced Cosmetic & Plastic Surgery located?

Advanced Cosmetic & Plastic Surgery is located at 500 Osborne Rd NE Suite 130, Fridley, MN 55432. The listed phone number is (763) 780-2770.

What is Advanced Cosmetic & Plastic Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Advanced Cosmetic & Plastic Surgery was last updated on July 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.